Active NPIIndividual provider

Mr. Gregory J Provenzano, MA, LPC

Counselor, Professional in Hamilton, New Jersey

NPI Number1770794943
Practice location
3379 Quakerbridge RD Ste 101, Hamilton, NJ 08619-1246
Fax
—
Last updated
July 8, 2007

Gregory Joseph Provenzano is a Counselor, Professional based in Hamilton, NJ. Gregory Joseph Provenzano practices in Hamilton, NJ and has the professional credentials of MA, LPC. The NPI Number for Gregory Joseph Provenzano is 1770794943 and holds a License No. 37PC00312600 (NJ). The current practice location address for Gregory Joseph Provenzano is 3379 Quakerbridge RD Ste 101, Hamilton, NJ 08619-1246 and can be reached out via phone at 609-439-0777.

Provider Profile Details

NPI Number
1770794943
Provider Name
Gregory Joseph Provenzano
Credential
MA, LPC
Provider Entity Type
Individual
Gender
Male
Address
3379 Quakerbridge RD Ste 101, Hamilton, NJ 08619-1246
Phone Number
609-439-0777
Primary Taxonomy
Counselor, Professional · 101YP2500X
Sole Proprietor
No
Provider Enumeration Date
May 26, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
3379 Quakerbridge RD Ste 101
Hamilton, NJ 08619-1246
Zip
08619-1246
Phone Number
609-439-0777
Hamilton, NJ 08619Get directions →

Provider Business Mailing Address Details

Address
74 Chestnut CT
Hillsborough, NJ 08844-1403
City
Hillsborough
State
NJ
Zip
08844-1403
Phone Number
908-227-7269

License Information

License Number
37PC00312600
License State
NJ
Taxonomy
Counselor, Professional · 101YP2500X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Gregory J Provenzano, MA, LPC?

The NPI number of Mr. Gregory J Provenzano, MA, LPC is 1770794943. It was assigned on May 26, 2007 and is currently active in the NPPES registry.

What is the specialty of Mr. Gregory J Provenzano, MA, LPC?

Mr. Gregory J Provenzano, MA, LPC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in NJ under license number 37PC00312600.

Where does Mr. Gregory J Provenzano, MA, LPC practice?

The practice location is 3379 Quakerbridge RD Ste 101, Hamilton, NJ 08619-1246. The office can be reached at 609-439-0777 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1770794943 directly on the NPPES registry website.

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